« previous next »

Author Question: How does the diagnostic section of a report (imaging reports and lab values) relate to the ... (Read 59 times)

dollx

  • Hero Member
  • *****
  • Posts: 558
on: Jun 27, 2018
How does the diagnostic section of a report (imaging reports and lab values) relate to the Assessment?
 
  What will be an ideal response?

Question 2

How does the medication list relate to the Past Medical History and why should these sections be free of contradictions?
 
  What will be an ideal response?


Zebsrer

  • Sr. Member
  • ****
  • Posts: 284
Reply #1 on: Jun 27, 2018
Answer to Question 1

The diagnostic tests are used to make the assessment (conclusion, diagnosis), so the results of those tests should support the conclusions made by the physician. For example, a negative x-ray would not support a diagnosis of fracture.

Answer to Question 2

The Past Medical History section may include the patient's ongoing (chronic) problems, and often these problems require medications. Significant chronic illnesses such as hypertension, diabetes, autoimmune disorders, and HIV are almost always treated pharmaceutically. A conflict between the patient's current illnesses and medications should alert the transcriptionist to the possibility of an error in one section or the other.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
« previous next »
 

Did you know?

Eating carrots will improve your eyesight. Carrots are high in vitamin A (retinol), which is essential for good vision. It can also be found in milk, cheese, egg yolks, and liver.

Did you know?

Aspirin may benefit 11 different cancers, including those of the colon, pancreas, lungs, prostate, breasts, and leukemia.

Did you know?

According to the National Institute of Environmental Health Sciences, lung disease is the third leading killer in the United States, responsible for one in seven deaths. It is the leading cause of death among infants under the age of one year.

Did you know?

Your skin wrinkles if you stay in the bathtub a long time because the outermost layer of skin (which consists of dead keratin) swells when it absorbs water. It is tightly attached to the skin below it, so it compensates for the increased area by wrinkling. This happens to the hands and feet because they have the thickest layer of dead keratin cells.

Did you know?

The Centers for Disease Control and Prevention has released reports detailing the deaths of infants (younger than 1 year of age) who died after being given cold and cough medications. This underscores the importance of educating parents that children younger than 2 years of age should never be given over-the-counter cold and cough medications without consulting their physicians.

The values of Φ and Ψ for all the amino acid The values of Φ and Ψ for all the amino acid
Stained section of cerebral cortex from autopsy of a patient with Creutzfeldt-Jakob disease Stained section of cerebral cortex from autopsy of a patient with Creutzfeldt-Jakob disease
Procedures and Diagnostic Tests Related to the Eye Procedures and Diagnostic Tests Related to the Eye
Check the edges of a cast and report any changes. Check the edges of a cast and report any changes.
Sections of a Research Report Sections of a Research Report
Cross-section of a human molar Cross-section of a human molar
Video: Chloroplast Structure & Light Dependent Reactions (Photosystem 1 and 2 Cyclic Electron Flow)

For a complete list of videos, visit our video library